We have now received the long-awaited decision from the Tennessee Supreme Court in Dedmon v. Steelman. The Court declined to extend the holding in West v. Shelby County Health Care Corp. to personal injury cases. West held that “reasonable charges” for medical services under Tennessee’s Hospital Lien Act are the discounted amounts a hospital acccepts as full payment from patients’ private insurers, not the full, undiscounted amounts billed to patients. Read more
All firm news and articles of Brewer, Krause, Brooks & Chastain.
I’m often asked whether a party can disclaim negligence in a contract. The answer is “yes” unless you are providing professional services, such as legal services, medical treatment or home inspections. The following is a brief highlight of the law that applies. Read more
It is well settled law in Tennessee that employers can be held vicariously liable for the negligent acts of their employees. But can churches and charity organizations be held vicariously liable for the negligent acts of their volunteers? Surprisingly, this question has never been squarely addressed by Tennessee case law. Given Tennessee’s common law agency principles and case law in other jurisdictions, a Tennessee appellate court may very well hold the answer to this question is yes. Read more
There is no duty to prevent an employee from leaving the premises driving his own vehicle while intoxicated. Thompson v. Best Buy Stores, 2016 WL 6946786 (Tenn. Ct. App., June 21, 2016). This is a companion case to Lett v. Collis Foods Inc., 60 S.W.3d 95 (Tenn. Ct. App. 2001), which addressed for the first time the question of an employer’s duty to an injured third person to prevent an impaired employee from driving his or her own vehicle. See also Williams V. Walmart Stores East LP, 832 F. Supp. 2d 923, 928 (E.D. Tenn. 2011). Read more
When an individual dies as a result of the wrongful acts of another, there is often a question as to who gets to bring an action against the tortfeasor. Is it the surviving spouse or is it the surviving children?
In Tennessee, the law provides the deceased’s right of action passes to that person’s surviving spouse and, in the case of no surviving spouse, to the person’s children or next of kin. Tenn. Code Ann. § 20-5-106. In other words, the surviving spouse has the superior right to bring a wrongful death action; the children may only bring an action if there is either no surviving spouse or the surviving spouse has waived his or her right to the action. See Foster v. Jeffers, 813 S.W.2d 449, 451 (Tenn. Ct. App. 1991). As the Tennessee Supreme Court has explained:
Because multiple actions may not be brought to resolve a single wrongful death claim, the statutes carefully prescribe the priority of those who may assert the action on behalf of the decedent and any other beneficiaries. In a dispute between the surviving spouse and the children of the decedent as to who may maintain the action, the surviving spouse clearly has “the prior and superior right above all others….” Foster v. Jeffers, 813 S.W.2d 449, 451 (Tenn. Ct. App. 1991); see also Tenn.Code Ann. § 20–5–107 (1994); Busby v. Massey, 686 S.W.2d 60, 62 (Tenn. 1984). In fact, the children of the deceased may maintain an action only if the decedent is not survived by a spouse or if the surviving spouse has waived his or her right of priority. See Tenn.Code Ann. § 20–5–107; Foster, 813 S.W.2d at 453. Consequently, once the surviving spouse has asserted his or her right or priority, the statutes give to the surviving spouse complete “control over the right of action until he or she waives that right.” Estate of Baker ex rel. Baker v. Maples, 995 S.W.2d 114, 115 (Tenn. Ct. App. 1999).
Kline v. Eyrich, 69 S.W.3d 197, 206 (Tenn. 2002); see also Spires v. Simpson, 2016 WL 1697832, at *5 (Tenn. Ct. App., Apr. 26, 2016).
With that being said, there are several avenues under which a surviving spouse may be deemed to have waived his or her right of priority. For instance, the children of the deceased may establish the spouse abandoned the deceased or otherwise was fully withdrawn from the deceased for a period of two years. If such is shown, the right of priority will be waived. See Tenn. Code Ann. § 20-5-106. The spouse may also waive his or her right by inaction, see Foster, 813 S.W.2d at 453 , or by permitting a child’s suit to stand without objection, Koontz v. Fleming, 65 S.W.2d 821, 824 (Tenn Ct. App. 1933).
In sum, a surviving spouse has the superior right to bring an action against the deceased’s tortfeasor unless he or she is deemed to have waived such right, in which case the deceased’s surviving children attain the superior right.
There is an interesting premise liability case filed last year in the Circuit Court of Appeals of Tennessee at Knoxville that found vomit on the floor of a Hardee’s restaurant for approximately three minutes was a sufficient length of time to charge defendant with constructive notice of the dangerous condition. Read more
The question often comes up as to whether a public adjuster hired by the insured should be listed on payments made under the policy for the insured’s claim. Many public adjusters provide insurance companies with an assignment signed by the insured requesting the public adjuster or public adjusting firm be named on any loss payments made under the policy.
In 2006, the Tennessee legislature enacted a statute concerning public adjusters in general. The statute describes the public adjuster’s duties as well as the requirements of any public adjuster contract. The statute provides the following important provisions for consideration as to whether inclusion of the public adjuster and the payment is appropriate:
- A public adjuster shall ensure that all contracts for the public adjuster’s services are in writing and set forth all material terms and conditions of the engagement.
- Any compensation or anything of value in connection with an insured’s specific loss that will be received by a public adjuster shall be disclosed by the public adjuster to the insured in writing, including the source and amount of the compensation.
- Nothing in this part shall prevent a public adjuster from requesting an insured to request the insurer to include the public adjuster’s name as a payee on any check.
Tenn. Code Ann. §§ 56-6-914 & 917.
An assignee of claim proceeds has no right to recover proceeds beyond that which the named insured had. See, e.g., Zaharias v. Vassis, 789 S.W.2d 906, 910 (Tenn. Ct. App. 1989). An assignment of policy proceeds is distinguished from an assignment of the policy itself. See, e.g., Metropolitan Life Insurance Co. v. Brown, 160 S.W.2d 434, 437-38 (Tenn. Ct. App. 1941). Tennessee courts hold that an assignment of proceeds made after a loss, as distinguished from an assignment made prior to the loss date, was valid despite the lack of consent by the insurer since the liability of the insurer was fixed at the time of the loss.
Based upon the statute, if the insured is required to assign rights to the public adjusting firm under the specific terms of the contract, the statute makes it clear that that provision is not valid. However, the statute also contains a provision that allows a public adjuster to “request” an insured to ask the insurance company to include the public adjuster on any loss payments. What we know is that if the “assignment” is made part of the actual public adjuster contract itself, it is not valid. However, if the assignment comes in the form of some other independent document, the question is whether such would fall into the category of a “request” by the insured. So far, there are no Tennessee cases on this issue. For this reason, this is likely a consideration that should be made on a case by case basis.
However, what about situations when a first party loss is also payable to a mortgagee? In most residential and commercial property policies, the mortgagee has a right to be paid along with the insured as interests appear. If the insurer were to additionally include the public adjuster as a payee along with the mortgagee and the insured, this would directly affect the mortgagee’s rights under the policy. For this reason, when the policy lists a mortgagee and contains the standard mortgage clause, the public adjuster should not be included as a payee even if there is an otherwise valid assignment.
Tennessee courts have long acknowledged the importance of food safety. See Bissinger v. New Country Buffet, No. M2011-02183-COA-R9CV, 2014 WL 2568413, at *15 (Tenn. Ct. App. June 6, 2014), appeal denied (Oct. 20, 2014). Vendors producing food intended for consumption are held to the highest standard of care. Jones v. Mercer Pie Co., 214 S.W.2d 46, 49 (1948). In Tennessee, when a consumer seeks to hold a food vendor accountable for injuries sustained as a result of the consumption of defective foods, she will usually claim the food vendor was negligent in the preparation of the product. For a negligence claim to stick, the consumer must show duty, breach, cause-in-fact, loss or injury, and proximate cause. In other words, the consumer must show the food vendor owed a duty of care to the consumer, the vendor’s conduct fell below that standard of care amounting to a breach, and that there was something wrong with the food when it left the vendor’s hands, which, when consumed, caused injury. The failure of the consumer to show any one of those factors is detrimental to the negligence claim.
Even if a consumer is able to show all of the factors of a negligence claim, the vendor may utilize an affirmative defense in order to negate liability. One such defense would be for the vendor to assert comparative fault against the consumer. Under comparative fault, the plaintiff’s fault must be less than the defendants’ combined fault. McIntyre v. Balentine, 833 S.W.2d 52, 57 (Tenn. 1992). In Brown v. Logan’s Roadhouse, for example, a female plaintiff sued Logan’s Roadhouse for negligence after she bit into and chewed a piece of meatloaf containing a metal fragment, purportedly a metal staple. Logan’s Roadhouse denied any acts of negligence, and asserted fault against the plaintiff for her continuing to chew the meatloaf after discovery of the staple. This argument had some “effect” on the jury because it found the plaintiff to be 40% negligent in causing her own injuries. The general jury award was $27,500, and the court subsequently entered judgment for the plaintiff, less comparative fault, in the sum of $16,500.
A new case filed June 15, 2015 in the Circuit Court of Appeals of Tennessee at Knoxville found that vomit on the floor of a Hardee’s restaurant for approximately three minutes was a sufficient length of time to charge defendant with constructive notice of the dangerous condition. The case at issue is styled Kyle Beverly, et al. v. Hardee’s Food Systems, LLC, No. E2014-02155-COA-R3-CV – FILED – June 15, 2015 (Tenn. Ct. App., April 14, 2015).
This appeal followed a successful summary judgment in the trial court, which found there was no evidence to support constructive knowledge on the part of the defendant. The videotape from Hardee’s showed two employees were busy serving customers during the three minute time period the condition existed before the fall. The trial court found (correctly in my opinion) the vomit did not existed on the floor long enough that the defendant, using ordinary care, should have discovered and corrected the unsafe condition.
Under Tennessee law, constructive notice is defined as “information or knowledge of a fact imputed by law to a person because he could have discovered the fact by proper diligence, and his situation was such as to cause upon him the duty of inquiring into it.” See Hawks v. City of West Moreland, 960 S.W.2d 10, 15 (Tenn. 1997). Plaintiff can prove constructive notice by presenting evidence that the condition existed for a length of time that the owner/occupier in the exercise of reasonable care, should have become aware of the condition.
In reversing the Trial Court below, the Court of Appeals found there was evidence in the record that “could potentially” establish constructive notice and, as a result, summary judgment was inappropriate. Specifically, the Court found that there were factual considerations that should have been considered, e.g., the nature of the business, the revolving number of patrons, and the nature of the danger, its location, and the foreseeable consequences. In considering these various factors, the Court found there were sufficient facts from which a reasonable jury could infer the condition existed for such a length of time that one exercising reasonable care would have discovered it.
Not all premise owners will be charged with constructive notice under the same circumstances presented by this case. The fact that Hardee’s is a fast food restaurant definitely played a role in the Court’s decision as to what would be a reasonable response of an employee. Nevertheless, this case reminds all premise owners of its responsibility to have periodic inspections. The frequency of the inspections needs to be tailored to the type of business operation. If you have questions or concerns regarding whether your business’ policies and procedures are adequate to prevent these types of claims, please do not hesitate to contact us directly.
Many insurance policies exclude damages caused by mold and fungi. Whether or not a loss caused by mold is covered under a policy will have to be made on a case-by-case basis. The wording of the policy and the specific facts of the loss will control this determination.
Most policies generally provide coverage for direct physical loss and then specifically exclude coverage for mold. Although the exclusion expressly mentions mold, a court could be persuaded to interpret these exclusions collectively. In other words, if the mold is the result of an otherwise covered loss, this exclusion may not bar coverage.
Part of the “problem” in Tennessee arises out of the doctrine of “concurrent causation.” Here, there will be coverage in a situation where a non-excluded cause is a substantial factor in producing the damage or injury, even though an excluded cause may have contributed in some form to the ultimate result and, standing alone, would have properly invoked the exclusion contained in the policy. Davidson Hotel Company v. St. Paul Fire and Marine Insurance Company, 136 F. Supp. 2d 109 (W.D. Tenn. 2001); Allstate Insurance Company v. Watts, 811 S.W.2d 883 (Tenn. 1991). Thus, damage caused by mold and fungi may still be covered by the policy if the mold is the result of a “covered loss” such as a burst pipe.
As a result, many carriers have changed the language of their mold exclusion to preclude coverage for losses caused by mold or fungi regardless whether said loss was direct, indirect, or concurrent. The United States District Court for the Eastern District of Tennessee examined such an exclusion in Pennsylvania Nat. Mut. Cas. Ins. Co. v. HVAC, Inc., 679 F. Supp. 2d 863 (E.D. Tenn. 2009). It held the exclusion explicitly, unambiguously, and clearly excluded coverage for a loss due to mold. Id. at 874-75.
Some policies provide limited coverage for mold or fungi. For instance, in State Auto. Mut. Ins. Co. v. R.H.L., Inc., 07-1197, 2010 WL 909073 (W.D. Tenn. Mar. 12, 2010), the Court examined a policy which provided coverage where fungi was “the result of a ‘specified cause of loss’ other than fire or lightning.” There, the only potentially applicable “specified caused” of loss was “water damage” caused by leaks in or around the property’s laundry room occurring within the policy period. The insured could not prove “water damage” occurred within the policy period and therefore there was no coverage for the fungi.
Many policies today utilize “anti-concurrent” causation lead in language for certain exclusions to defeat the concurrent causation doctrine. Such language typically excludes losses caused “directly or indirectly” by the excluded peril and applies whether or not any other cause “contributes concurrently or in any sequence” to cause the loss, making it clear that if the excluded peril contributes, there is no coverage. The additional coverage for mold can be very specific and can include and limit coverage for a variety of mold related concerns, including mold testing. Thus, it is important to specifically reference the policy language itself in evaluating coverage for a mold or fungi claim.